Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.91 / $217.98 / $420.92	Facility		$187.91	$217.98	$420.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $127.78 / $293.14	Professional		$100.00	$127.78	$293.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.28 / $376.18 / $436.76	Facility		$244.28	$376.18	$436.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $165.90 / $269.64	Professional		$131.88	$165.90	$269.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $330.26 / $395.74	Professional		$150.33	$330.26	$395.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.75 / $157.85 / $330.73	Facility		$112.75	$157.85	$330.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $150.33 / $202.95	Professional		$150.33	$150.33	$202.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $157.85 / $331.85	Facility		$150.33	$157.85	$331.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.85 / $190.17 / $376.18	Facility		$157.85	$190.17	$376.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.86 / $172.88 / $240.90	Professional		$159.86	$172.88	$240.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $293.14 / $457.45 / $590.17	Facility		$293.14	$457.45	$590.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $265.73 / $295.33 / $473.22	Professional		$265.73	$295.33	$473.22
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $63.14 / $157.85	Professional		$63.14	$63.14	$157.85